07-0270 Permit file 071807~OF THF~`C City of Yelm
`9 m Community Development Department
Building Division
Phone: (360) 458-8407
L Fax: (360)458-3144
Applicant:
Name: Bar Cinco
Address: 704 Yelm Ave. West City: Yelm
Property Information:
Site Address: 704 Yelm Ave. W
Assessor Parcel No. 99002058842 Subdivision:
Contractor Information:
Name: Applicnt Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: Bar Cinco Deck
Description of Work: 480 sf Public Deck
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other):
Fees
Permit No: BLD-07-0270-YL
Issue Date: 07/18/2007
(Work must be started within 180 days)
Receipt No: 49345
Phone: 280-6372
State: WA Zip 98597
Lot:
Phone:
State: Zip:
Business License:
Garage 0 Basement 0
Item Item Fee Base Amt Unit Fee Unit Rate
Building Permit -Other 125.25 _ 0.00 v 0.00 0.0000
Building Plan Review 81.41 0.00 0.00 0.0000
TOTAL FEES: 5206.66
Applicant's Affadavit
No. Units Unit Desc
0.0000 $1,000
0.0000
I certify that I have read and examined the information contained within the application and know the same OFFICIAL USE ONLY
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of # Sets of Prints:
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record. If applying as a contractor, I futher certify that I am currently
registered in the State of Washington. Final Inspection:
Signature r.~ ~(~ Date ~~ Date:
Firm BY~
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f' CITY OF
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YPlrn, WA 9H;97
YET.M ;+fiU-458-3244
RECEIVED
RECEIPT No. ~~ ~~ .:~ ~ ~
RECEIVED FROM DATE REC. N0. AMOUNT REF, N0.
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,~~ ermit Fees Schedule
4 ~ Community Developme nt Departme n ~~~ ~
P
Building Division ,~
~ ermit No: BLD-07-0270-YL
Phone: (360) 458-8407 O`~
\~~
YELM Fax: (360) 458-3144
Applicant:
Name: Bar Cinco Phone: 280-6372
Address: 704 Yelm Ave. West City: Yelm State: WA Zip 98597
Project Information:
Project: Bar Cinco Deck
Description of Work: 480 sf Public Deck
Site Address: 704 Yelm Ave. W Assessor Parcel No. 99002058842
Fees:
Item Acct Code Item Fee Base Amt Unit Fee
-- Unit Rate No. Units Unit Desc
Building Permit -Other 032 001-322-10-00
125.25 ------- ---------
0.00 0.00 -----------
0.0000 0.0000 $1,000 _
Building Plan Review 100 001-345-83-00 81.41 0.00 0.00 0.0000 0.0000
TOTAL FEES: $206.66
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: (, lJ Parcel #:
Zoning; l ~. ~ Current Use: posed Use:_ ~C~~~
U New Construction /~Re-Model / Re-Roof /Tenant Improvement
U Plumbing u Mechanical u Fire PrevenVSuppress/Alarm U Other
Project Description/Scope of Work: ,~ L~. ~ p gj-~/' ~1.P C
Copy of Clty Mftlgatlon documentatbn (TFC).
I hereby certify that the above Information Is cone~.~ and that the construction on, and the occupancy and the use of the
above dexribed props will be In accordap~e ~jthe laws, ruFes and rtgutatlons of the State of Washington and the
City of Yplm. ~ / /
Applic nt's Sig
Owns /Con ature
ctor / Owner's A
nt /Contractor's Agent /Tenant Date
(Please circle one.)
All permits are non-transferable and will expire if work authorized by such permit is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
PO I3os 479 - . ~ . 4~• (360) 45&3835
(360) 458-3144 FAX
Yelm, WA 98597 w~uu~.ci.yelm.mn.ua
Building Area (sq. ft) Parking Garage 1~' Floor 2nd Floor 3b Floor
Building Height ,~~~ ~ (~
Are there any environmentally sensitive areas located on the parcel? -- I~ If yes, a
completed environmental checklist must accompany permit application.